IAN JEROME GONZALES R. EEG T, CLTM, CNIM
NPI 1992402119
Specialist/Technologist, Other - EEG in Englewood, NJ

Q: What is Ian Gonzales's NPI number?

The NPI number for Ian Gonzales is 1992402119. It was assigned to this individual provider in the NPPES registry on February 8, 2023.

Q: What is Ian Gonzales's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in EEG, with taxonomy code 246ZE0500X.

Q: When was this NPI record last updated?

The NPPES record for Ian Gonzales was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 08, 2023

161 KNICKERBOCKER RD APT D, ENGLEWOOD, NJ 07631(973) 752-9580 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ian Jerome Gonzales R. Eeg T, Cltm, Cnim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IAN JEROME GONZALES R. EEG T, CLTM, CNIM (NPI 1992402119) is an individual eeg provider in Englewood, New Jersey, licensed in New Jersey (456) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1992402119

Entity TypeIndividualMale

Primary Taxonomy246ZE0500X

Provider Legal NameIAN JEROME GONZALESCredential: R. EEG T, CLTM, CNIM

Location Address161 KNICKERBOCKER RD APT DEnglewood, NJ 07631-2156

Mailing Address161 Knickerbocker RdEnglewood, NJ 07631-2161 · (973) 752-9580

Phone(973) 752-9580

Sole ProprietorYes

Enumeration DateFebruary 8, 2023

NPPES CertifiedFebruary 8, 2023

✔ NPI 1992402119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist, Other · EEGTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZE0500X

License✔ Licensed in NJ · 456

Also ListedSpecialist/Technologist, Other · ElectroneurodiagnosticTaxonomy 246ZE0600X · License 4926 (NJ)

161 KNICKERBOCKER RD APT D, Englewood, NJ 07631

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ian Gonzales's NPI number?

The NPI number for Ian Gonzales is 1992402119. It was assigned to this individual provider in the NPPES registry on February 8, 2023.

Where is Ian Gonzales located?

Ian Gonzales practices at 161 Knickerbocker Rd Apt D, Englewood, NJ 07631. The listed phone number is (973) 752-9580.

What is Ian Gonzales's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in EEG, with taxonomy code 246ZE0500X.

When was this NPI record last updated?

The NPPES record for Ian Gonzales was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.